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SEPTIC SYSTEM INVENTORY <br /> Site Address: 1669 North Farm Rd PID: 2711823440008 <br /> Owner Name: Joseph H. Offerman <br /> Owner Address: 1669 North Farm Rd Long Lake MN 55356 <br /> Building Type: residence Installer: <br /> Date of Permit: 12/13/79 On-Site System <br /> System Type: electro-osmosis BRs Designed for: �4 <br /> In Musa?: Yes Shoreland?: Y <br /> � <br /> SEPTIC COMPLIANCE INSPECTION ����G � � <br /> _ Report Date: � � ,� <br /> Compliant?: Expires: � , <br /> Non-Compliant?: Report in Street File? � ` �� ��,�� <br /> SPEC� IAL NOTES <br /> Cj �' n /� <br /> d� <br /> � <br /> � <br /> SEPTIC TANKS <br /> Material: precast concrete Capacity: 1000,1000 Tank Filter: �— <br /> DRAINFIELD <br /> Treatment Area: 475 Soil Boring: yes DF Ht above Wt: � -- <br /> WELL DATA <br /> Setbacks-Well-Tanks: 90 Well-DF: 100 Report in File?: � Depth: 135 <br /> INSPECTION RECORD PUMPOUT RECORD <br /> Date Description Date Gallons <br /> 6/20/80 installation 07/09/90 1000 <br /> 8/9/84 no surfacing 04/26/01 4000 <br /> 9/23/87 no surfacing 07/20/04 2500 <br /> 6/18/90 no surfacing 06/01/07 1500 <br /> 10/28/92 fno surfacing <br /> 5/18l95 no surfacing �— <br /> 9/1 /98 non-compliant,DF surfacing, replace 12/31/2005 � <br /> 3/22/00 non-compliant, replace by 12l31/2010 <br /> 8/27/02 non-compliant, replace by 12/31/2010 � <br /> 09/07/04 Non-compliant, replace by 12/31/2007-SHORELAND <br /> 06/00/06 Non-compliant, replace by 12/31/2007-SHORELAND <br />